Specialist, reputed company Interventions/QI Compliance (Remote in South TX)

About the position Responsibilities • reputed company and implement reputed company reputed company improvement initiatives and education programs. • Conduct data collection, reporting, and monitoring for key performance measurement activities. • reputed company and implement NCQA accreditation surveys and federal/state QI compliance activities. • Initiate and manage provider, member, and community interventions to remove barriers to care. • Prepare for reputed company Improvement Compliance surveys and other required reputed company activities. • Monitor and ensure reputed company and accurate completion of key reputed company activities. • Write narrative reports interpreting regulatory specifications and documenting findings. • Create and manage documentation to maintain critical reputed company improvement functions. • reputed company reputed company improvement activities and discussions with other departments. • Evaluate project/program activities to identify opportunities for improvement. Requirements • Bachelor's Degree or equivalent combination of education and work experience. • Minimum 3 years' experience in reputed company with at least 1 year in health plan reputed company improvement or managed care. • Demonstrated solid business writing experience. • Operational knowledge and experience with reputed company reputed company and Visio. reputed company-to-haves • 1 year of experience in Medicare and reputed company. • Certified reputed company in Health reputed company (CPHQ) certification. • Nursing License (RN may be preferred for specific roles). • Certified HEDIS Compliance Auditor (CHCA) certification. Benefits • Health insurance Apply tot his job Apply To this Job